| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.23 | $151.36 | $190.55 | |
Aetna
| Professional | $104.71 | $162.18 | $380.19 | |
Ambetter
| Professional | $114.82 | $144.54 | $186.21 | |
BCBS
| Professional | $102.33 | $131.83 | $162.18 | |
Christus
| Facility | $131.83 | $131.83 | $141.25 | |
Cigna
| Facility | $125.89 | $125.89 | $173.78 | |
Cigna
| Professional | $102.33 | $141.25 | $275.42 | |
United
| Professional | $95.50 | $131.83 | $194.98 |